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The Orthopedic Evaluation of The Child
06/02/2007
The Orthopedic History
The chief complain. History of present illness. Birth history. Family history. Growth and development.
Growth and Development
Normal Control Progress
HEAD
HANDS
LEGS
Gross Motor Skills
3 m. Holds head
6 m. Sits with support
9 m. Stands with support
12 m. Walks with support
18 m. Ascends stairs
3 yrs. Pedals tricycle
Head-to-Trunk Proportion
Secondary centers of ossification
Secondary centers of ossification
The Tanner’s Stages of Development
General Principles
Inspection (Angular deformities, Skin lesions…)
Joints Range of Motion.
Grading of Muscle Strength.
Developmental Reflexes.
The Neck
Range of Motion
The Muscular Torticollis
Klippel-Feil Syndrome
The Shoulder
Range of Motion
X-ray Examination
Birth – 3 m.
6 – 18 m.
Neonatal Brachial Plexus Palsy
Congenital High Scapula(Sprengel’s deformity)
CONGENITAL PSEUDARTHROSIS OF CLAVICLE
The Elbow
Range of Motion
The Carrying Angle
- 15 degrees in the newborn- 17.8 degrees in adults
X-ray Examination CRITOE
X-ray Examination
X-ray Examination
Congenital Radial Head Dislocation
Congenital Radial Head Dislocation
Arthrogryposis Larsen’s syn. E.D. syn.
The Hand
X-ray Examination
Madelung Deformity
Polydactyly
Syndactyly
Macrodactyly
The Spine
InspectionScoliosis
Adams forward bending test
Inspection - Kyphosis
Radiographic Evaluation
Risser Sign
The Hip
DDH – The Newborn
Barlow – Ortolani
DDH – The Infant
Limited Abduction
Galeazzi SignAsymmetry of the Thigh Folds
DDH – The Infant
DDH – The InfantKlisic Sign
Contractures
Contractures
Signe du trépied
Contractures
Ely Test
Contractures
Contractures
Contractures
Thomas Test
Contractures
Patrick Test
X-ray Examination
X-ray Examination
X-ray Examination
Craig Test
X-ray Examination – DDH
X-Ray Examination - SCFE
Klein’s line
X-ray Examination – Coxa-Vara
The Knee and Leg
Normal Knee Development
Normal Knee Development
Internal Tibial Torsion
X-ray Examination
Blount’s Disease
Rickets
Congenital Dislocation
Osgood - Schlatter
Osteochondritis Dissecans
The Foot
X-ray Examination
Metatarsus Adductus
Metatarsus Adductus
Talipes Calcaneovalgus
Flexible Flatfoot
Flexible Flatfoot
Flexible Flatfoot
Cavus Foot
Cavus Foot
Meary’s angleHibbs’s angle
Talipes Equinovarus
Talipes Equinovarus
Vertical Talus
Vertical Talus
Clubfoot
VerticalTalus
Cavus Foot
Flatfoot
The Gait Analysis
The Gait Cycle
Special Consideration Based on Age Group
1 – 3 years
-Wide based gait.-Increased hip, knee flexion.-Increased cadence.
من • تقديمها و إعدادها تم محاضرات سلسلة من هي المحاضرة هذه , دمشق مشفى في العظمية الجراحة شعبة في المقيمين األطباء قبل
. . ميرعلي بشار د إشراف تحت• . المحاضرة هذه في الواردة األخطاء عن مسؤول غير الموقع
•This lecture is one of a series of lectures were prepared and presented by residents in the department of orthopedics in Damascus hospital, under the supervision of Dr. Bashar Mirali.
•This site is not responsible of any mistake may exist in this lecture.